Normal renal and pancreatic graft - Color Ultrasound

Clinical Summary

Keywords

Title: Color Ultrasound - Normal renal and pancreatic graftDiagnosis: Normal renal and pancreatic graftAuthor: Dr.ROSSET AntoineComment: Dr. KHAN HaleemHospital: HUGDepartment: RadiologieState: TerminéeDate: 21.03.2003: 4279Chapter: UrologyClinical Presentation: Routine work-up of a combined renal andpancreatic graft.Comment: The only established role of sonography is to detectperipancreatic fluid collections (lymphocele), pancreaticenlargement and to guide fluid aspiration. Color Doppler Flowexplores the vascular anastomosis which are at risk for thrombosisin the early postoperative period. Detecting high RI > 0.7 arenot sensitive nor specific for diagnosing early transplantrejection.Description: The CT and ultrasound study shows that the renal graftin the left iliac fossa has a normal appearance and that thearterial and venous anastomosis are permeable. Moreover the graftis homogenously perfused on the Power Doppler image and theinterlobular vessels are well seen. The CT study displays similarfindings. Note that the vascular anastomosis are with the iliacvessels. A small lymphocele is present. The pancreatic graft isperfectly seen in the right iliac fossa. The vascular anastomosisare normal as demonstrated by the Color Doppler findings. It ishomogenous and it is well perfused.